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Lip Reconstruction With a Cross-Lip Flap

Massachusetts rates for HCPCS 40761

Reconstructive surgery that borrows a wedge of tissue from the opposite lip, left attached by its own small blood supply, and swings it across to rebuild a lip that is deficient or distorted. The connecting bridge stays in place for a period so the transferred tissue can establish a blood supply in its new position, and is divided at a second stage. It is used when there is not enough lip tissue to close the gap directly.

Rates data updated July 2026.

How much does Lip Reconstruction With a Cross-Lip Flap cost?

$1,778

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $3,311 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,445$1,175 to $2,344
FacilityA hospital or hospital-owned outpatient department$3,311$2,188 to $4,677

How much rates vary

Facilitymedian $3,311 · 10th to 90th $1,259 to $8,511Professionalmedian $1,445 · 10th to 90th $1,000 to $3,020
$1K$2K$5K$10K$20K$50Kfacility $3,311professional $1,445

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,311.31
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,258.93
Typical High
$3,019.95
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$7,585.78
Typical High
$45,708.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,548.82
Typical High
$9,332.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,737.80
Typical High
$2,951.21
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,412.54
Typical High
$3,890.45
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,258.93
Typical High
$1,621.81
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,778.28
Typical High
$2,951.21
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$7,585.78
Typical High
$45,708.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,548.82
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,621.81
Typical High
$3,548.13

Where Massachusetts sits

The same service costs 5.4 times more in California than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 26th of 51

$1,778

CA $5,754WV $1,072

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.